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Extra Monthly Time Managing Long-Term Conditions

Kentucky rates for HCPCS 99437

Covers further time a doctor or other qualified professional spends during a month managing someone who has two or more ongoing health conditions: keeping the care plan up to date, adjusting treatment, and coordinating with the other clinicians involved. It is billed in addition to the main monthly management service.

Facilitymedian $62 · 10th–90th $43$890%10%20%10th90th$62Professionalmedian $47 · 10th–90th $38$620%10%20%10th90th$47$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$74.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$93.33